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General NPI Number Information
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NPI Number | 1245364637
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Entity Type | Individual
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Provider Name | JASON SCOTT LORBER L.C.S.W.
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Gender | Male
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 3000 LINCOLN DR E STE E
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City | MARLTON
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State | NJ
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Zip | 08053-1500
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Country | US
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Telephone | 215-823-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 GREEN ST APT. E
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3967
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Country | US
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Telephone | 267-496-2395
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW015436
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0000872
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License Number State | DE
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